Bright Health
Through powerful relationships with care partners, Bright Health aims to help people live healthier and brighter lives
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AVP, East Region, Network Development at Bright Health (Remote)

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Our Mission is to Make Healthcare Right. Together. Built upon the belief that by connecting and aligning the best local resources in healthcare delivery with the financing of care, we can deliver a superior consumer experience, lower costs, and optimized clinical outcomes.

What drives our mission? The company values we live and breathe every day. We keep it simple: Be Brave. Be Brilliant. Be Accountable. Be Inclusive. Be Collaborative.

If you share our passion for changing healthcare so all people can live healthy, brighter lives – apply to join our team.


SCOPE OF ROLE

The Network Delivery Development team is responsible for partnering with our Care Partners including all other Network relationships to turn their provider networks into market leading and high performing integrated delivery systems. We are reimagining how the network development, network management, and provider relations functions can advance affordable, simple, and personal care for our members. The Regional Manager, Network Development will be a leader on our team and will act as a thought leader for the entire organization with specific Regional responsibilities as assigned. This position will play an integral role in driving the company’s performance by building, optimizing, and transforming our insurance networks. This position will be responsible for supporting Bright’s relationship development with key Regional and local network participants across their designated Regions of Bright’s insurance networks as well as for advancing reimbursement best practices alongside our Care Partners.

ROLE RESPONSIBILITIES

The Regional AVP, Network Development job description is intended to point out major responsibilities within the role, but it is not limited to these items.

  • Develops, organizes and manages execution of the Region Network Strategy for the development of provider contracting efforts and team member assignments from start-to-finish, including but not limited to process oversight, strategic diligence, outreach, and contract negotiations with regards to mid-sized and large hospitals and health systems, large and small physician groups and ancillary providers to execution.
  • Lead Bright Health network development efforts across designated Region consisting of several new and existing markets, partnering closely with market teams, sales, Health Optimization, and other Integrated Delivery Development functions. Develops and assists with Network employee training to ensure consistent Care Partner engagement regardless of the Market.
  • Oversees, leads and manages the collaboration with Care Partners to analyze, design, and develop networks through ongoing evaluation of both current and potential network participants. Collaborates with Smart Networks on documentation of curated market network strategies to demonstrate high performing networks within their assigned Region.
  • Develops and Supports enhancement of Bright’s portfolio of strategic multi-regional network partnerships to compliment local network development efforts aligned within designated Region. Ensures effective management and oversight of these relationships through ongoing engagement and corrective action plan recommendations, as required.
  • Manage ongoing network participant participation and performance, including performance analytics and management as well as contract renewals and terminations. Participates in Market stakeholder meetings and prepares written recommendations on network strategies to obtain market leading high performing networks to improve affordability and improved member quality results. Maintains and updates annual network optimization strategy for each Market in alignment with Market Leaders
  • Partner and participate with stakeholders across the organization including but not limited to sales, finance, regulatory, medical management to drive strategic priorities and initiatives.
  • Monitor utilization/trends for non-participating providers and execute on organizational strategies to ensure members are seeking care with participating providers when appropriate and initiating closing Network gaps as identified.
  • Accountable for leading negotiations with Care Partners and other sophisticated entities as assigned or as identified within assigned Region. Prepares written status updates for key stakeholder reviews and aligns other network opportunities to ensure Market initiatives are met.
  • Assess, manage, and develop network development team members to support achievement of network development goals. Prepares annual assessment of network team member to develop succession planning, team member skills development needs including individual feedback on skill improvement needs
  • Other duties and responsibilities as assigned.

SUPERVISORY RESPONSIBILITIES

  • This position has supervisory responsibilities for assigned Regional Network Strategy/Development employees.

EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE

  • Master’s preferred, minimally a Bachelor’s Degree in business, economics, healthcare administration, or a related field is required; extensive relevant experience will be considered in lieu of a degree.
  • Twelve (12) years of experience, with at least seven (7) years of experience in network development, network management, or reimbursement model design required.
  • Seven (7) years prior management experience strongly preferred.
  • Experience with successfully executing and implementing payer-provider contracts or partnerships required for Commercial, Medicare and Medicaid lines of business including experience with Value Based Incentive Risk and/or Shared Savings network contracting models.
  • Proven experience with developing, presenting and analyzing various types of financial analyses, contracting models and network engagement in order to make informed strategic decisions required.

PROFESSIONAL COMPETENCIES

  • Desire and ability to move quickly between strategic leadership, tactical execution, and managing analytics
  • Knowledge of managed care practices and procedures, specifically in contracting language and negotiations. Provider relations is preferred
  • Ability to effectively engage providers, ranging from national providers to regional integrated delivery systems to local physician practices
  • Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures
  • Excellent multitasking and prioritization skills with a proven ability to manage multiple projects in parallel to completion
  • Superb written and verbal communication skills with an ability to effectively collaborate with internal and external executive leadership

WORK ENVIRONMENT

The majority of work responsibilities are performed in an open office setting, carrying out detailed work sitting at a desk/table and working on the computer. Travel may be required.

 
We’re Making Healthcare Right. Together.
We are realizing a completely different healthcare experience where payors, providers, doctors, and patients can all feel connected, aligned and unified on the same team. By eradicating the frictions of competing needs, we are making it possible to give everyone more of what they want and deserve. We do this by:
 
Focusing on Consumers
We understand patient pain points, eliminating complexity while increasing transparency, for greater access and easier navigation.
 
Building on Alignment
We integrate and align individual incentives at all levels, from financing to optimization to delivery of care.
 
Powered by Technology
We employ our purpose built, integrated data platform to connect clinical, financial, and social data, to deliver exceptional outcomes.
 
          
 
As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of Bright Health, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
 

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What are Bright Health Perks + Benefits

Bright Health Benefits Overview

We have 2 different health insurance plans, all through BlueCross Blue Shield (HDP & PPO). We cover the majority of the cost for the employee and some cost for family. We have two dental plans and a vision plan as well. We have a Lifestyle Spending Account and options for HSA/FSA. We put 4% of your total earnings into your 401K plan and you are immediately vested. We have all the latest technology (Mac or Surface laptops – your choice) to use including standing desks. Fully stocked fridge with snacks and drinks. Last Wednesday of every month is reserved for WellBeing Wednesday where we don't schedule any meeting that day so our employees can focus on deep work or learning something new.

Culture
Friends outside of work
Eat lunch together
Intracompany committees
Daily sync
Open door policy
Team owned deliverables
Team based strategic planning
Group brainstorming sessions
Pair programming
Open office floor plan
Diversity
Dedicated Diversity/Inclusion Staff
Unconscious bias training
Diversity Employee Resource Groups
Hiring Practices that Promote Diversity
Health Insurance & Wellness Benefits
Flexible Spending Account (FSA)
Bright Health employees can contribute up to $3500 annually to their FSA.
Disability Insurance
Dental Benefits
Vision Benefits
Health Insurance Benefits
Life Insurance
Wellness Programs
Bright Health is proud to offer a wellness stipend of $200/month to all employees!
Onsite Gym
Mental Health Benefits
Retirement & Stock Options Benefits
401(K)
We match 100% on the first 2% and 50% on the next 4%, in other words, if you put in 6% we will add an additional 4%.
401(K) Matching
Bright Health provides employees with a 401(k) plan managed by Vanguard. We provide a ‘safe harbor’ non-elective contribution equal to 3% of your compensation, regardless of participation in the p
Company Equity
Performance Bonus
Child Care & Parental Leave Benefits
Generous Parental Leave
We provide up to 6 weeks of parental leave for the primary caretaker. We also provide 2 weeks of leave for the secondary caretaker.
Flexible Work Schedule
Bright Health provides employees with a flexible work schedule that includes Core hours, Flexible start and end times.
Remote Work Program
Family Medical Leave
Vacation & Time Off Benefits
Generous PTO
Paid Holidays
Paid Sick Days
Perks & Discounts
Casual Dress
Commuter Benefits
Stocked Kitchen
Happy Hours
Happy hours are hosted on occasion.
Relocation Assistance
Fitness Subsidies
Bright Health employees are eligible for discounts on several gym memberships.
Home Office Stipend for Remote Employees
Professional Development Benefits
Tuition Reimbursement
Diversity Program
Lunch and learns
Cross functional training encouraged
Promote from within
Time allotted for learning
Online course subscriptions available
Customized development tracks

Additional Perks + Benefits

Bright's primary goal is to offer employee benefits and perks that are as flexible as possible to meet each employee's unique needs!

An Insider's view of Bright Health

What’s the vibe like in the office?

The office has a relaxed and laid back vibe but people are very serious about their work - perfect!

Anthony

Data Engineer

What does your typical day look like?

My day is so varied, given how quickly we're growing, which is fulfilling for me. I have a good balance of strategic and tactical work in my day as well as time to focus and time to collaborate.

Jen

VP, Digital

What makes someone successful on your team?

A hard-working team player who thinks first and codes next is likely to learn a lot and quickly become a valuable member of the team. Lots of experience with some of our tooling is always nice, but if someone can't knowledge-share well or responds poorly to code reviews and other requests for collaboration, it'll be a tough fit.

Brian

Software Engineer 3

How do your team's ideas influence the company's direction?

We hire smart individuals who thrive on accomplishment and purpose. Our teams are exposed to the bigger picture through constant communication and dialogues – that encourages them to come up with innovative solutions to problems. We've made significant adjustments on our direction in technology and process that were initiated by the team.

Abdullah

VP, Engineering

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